Provider Demographics
NPI:1427199496
Name:KREUTZER, CARIN BUJOLD (MPH, RD)
Entity Type:Individual
Prefix:MS
First Name:CARIN
Middle Name:BUJOLD
Last Name:KREUTZER
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5632 WISH AVE
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1408
Mailing Address - Country:US
Mailing Address - Phone:818-774-1607
Mailing Address - Fax:
Practice Address - Street 1:5632 WISH AVE
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1408
Practice Address - Country:US
Practice Address - Phone:818-774-1607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric